Structure of comminuted fractures of long bones in dogs according to the principles of AO/ASIF classification (24 clinical cases)

V. Chemerovskiy, S. Rublenko, M. Ilnitskiy, V. Koziy, M. Chornozub
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Abstract

The study of the structure of morbidity or individual nosological groups of diseases involves not only establishing the degree of their prevalence, but also, depending on the methodology of such studies, makes it possible to identify the prevailing clinical and morphological forms, the objectivity of diagnostic algorithms and the effectiveness of therapeutic measures, which makes it possible to assess the state of the solution or another clinical problem, adjust the ways to solve it and improve clinical management and form directions for improving the market for therapeutic agents. The aim of the work was to establish the structure of the types of different clinical and radiological forms of comminuted bone fractures in dogs according to the principles of the international classification AO/ASIF. We performed a clinical and radiological assessment of comminuted fractures of long bones in dogs (n=24) with spontaneous bone injuries admitted to the Interdepartmental Small Animal Clinic of Belotserkovsky NAU, in which 26 comminuted fractures were diagnosed. The main forcing ship fractures were car accidents - 58.4%, alarming world causas unverified creatures of bloodshed - 20.8%, injuries caused by other creatures - 12.5% and 8.3% - falling from height. According to thestate factor, the removal from white grains is 70.8%, and in 62.5% - animal with weight of 11 kg, and in 54.2% - dogs of different breeds, while 45.8% were outbred. Comminuted fractures according to morphosegmental localization were: diaphyseal - 46.2%, metaphyseal - 42.3%, epiphyseal 11.5%. According to the principles of the international classification AO / ASIF, their largest share - 50%, belongs to type C, 46.2% - to type B and the smallest - 3.8%, to the simplest type A. Within the subgroups of the largest - 19.2 %, the proportion for subgroups B1, B2 and C2 turned out to be slightly less - 15.4% for C1 and C3 and very small - 7.8% and 3.8% for B3 and A2, respectively. Consequently, the morphosegmental localization of the typification of the type and complexity of fractures according to the principles of the AO/ASIF classification provides more detailed information, which creates the basis for the proposed choice of the most rational methods and means of osteosynthesis. Key words: osteosynthesis, reparative osteogenesis, femur, tibia, radius, ulna, humerus.
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犬长骨粉碎性骨折AO/ASIF分型的结构分析(附24例临床分析)
对发病率结构或个别疾病分类的研究不仅涉及确定其流行程度,而且根据这种研究的方法,还可以确定主要的临床和形态学形式、诊断算法的客观性和治疗措施的有效性,从而有可能评估解决方案或另一个临床问题的状况。调整解决方式,完善临床管理,形成完善治疗剂市场的方向。本研究的目的是根据AO/ASIF的国际分类原则,建立犬粉碎性骨折不同临床和影像学表现的类型结构。我们对Belotserkovsky NAU跨部门小动物诊所收治的24只自发性骨损伤犬(n=24)进行了长骨粉碎性骨折的临床和放射学评估,其中26例被诊断为粉碎性骨折。造成船舶骨折的主要原因是车祸(58.4%)、未经证实的流血事故(20.8%)、其他生物(12.5%)和从高处坠落(8.3%)。根据国家因素,白色颗粒的去除率为70.8%,体重为11公斤的动物为62.5%,不同品种的狗为54.2%,而近亲繁殖的狗为45.8%。粉碎性骨折按形态节段定位为:干骺端46.2%,干骺端42.3%,骺端11.5%。根据AO / ASIF的国际分类原则,它们的份额最大(50%)属于C型,46.2%属于B型,最小(3.8%)属于最简单的a型。在最大(19.2%)的亚群中,B1、B2和C2亚群的比例略低,C1和C3占15.4%,B3和A2占7.8%和3.8%,非常小。因此,根据AO/ASIF分类原则对骨折类型和复杂性的形态节段定位提供了更详细的信息,这为建议选择最合理的骨固定方法和手段奠定了基础。关键词:骨合成,修复性成骨,股骨,胫骨,桡骨,尺骨,肱骨。
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